Active NPI
Alexis Brooke Keith, PTA
- Physical Therapy Assistant
- Claremore, OK
National Provider Identifier
1053029439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3425
- Practice address
- 1110 W Will Rogers Blvd
Claremore, OK 74017-5421 - Phone
- (918) 341-4343
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Physical Therapy Assistant | 225200000X | 3425 | OK | Primary |
Addresses
Primary practice location
1110 W Will Rogers Blvd
Claremore, OK 74017-5421
Mailing address
1110 W Will Rogers Blvd
Claremore, OK 74017-5421
Phone (918) 341-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3425 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1053029439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175421",
"telephone_number": "918-341-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175421",
"telephone_number": "918-341-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "ALEXIS",
"middle_name": "BROOKE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "3425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.